VOLUNTEER APPLICATION Please complete all required fields! Personal INFORMATION Name* Invalid Input Address Invalid Input City Invalid Input State Invalid Input Zip Invalid Input Email* Invalid Input Evening Phone Invalid Input Cell Phone Invalid Input Age under 18 yrs.18-25 yrs.26-40 yrs.40+ yrs.Invalid Input Please review the listed types of volunteer activities on each tab and indicate where you would like to volunteer. Check all that apply Next > Dog Interactions and Other Activities Dog Interactions and Other Activities Dog walking/socializationDog trainingDog bathing/groomingTaking photos & videos of dogsTransporting dogs to vet and eventsFostering a dog (usually 3-6 weeks)Emergency fostering (short period)Assisting with local outreach eventsInvalid Input < PreviousNext > Fund Raising and Grant Research Fund Raising and Grant Research Help with fund raising eventsGrant researchGrant writing (if you have experience)Invalid Input < PreviousNext > Administrative & Marketing Administrative & Marketing Form developmentCreating & posting advertising flyersSchool talks/radio spotsInvalid Input < PreviousNext > Computer skills/software – do you have and are skilled in: Computer skills/software – do you have and are skilled in: MS WordMS Excel (or other spreadsheet software)Acrobat Writer (or other .pdf writer)Invalid Input < PreviousNext > Arts and crafts skills you can help with Arts and crafts skills you can help with SewingDrawingComputer GRAPHICSInvalid Input < PreviousNext > Briefly state the amount and type of experience you’ve had with dogs Invalid Input < PreviousNext > REFERENCES Name Phone E-mail Relationship Name 1 Invalid Input Phone 1 Invalid Input E-mail 1 Invalid Input Relationship 1 Invalid Input Name 2 Invalid Input Phone 2 Invalid Input E-mail 2 Invalid Input Relationship 2 Invalid Input Name 3 Invalid Input Phone 3 Invalid Input E-mail 3 Invalid Input Relationship 3 Invalid Input IMPORTANT – PLEASE READ, INITIAL AND SIGN I agree to assist Canine Health Education and Welfare (CHEW) Dog Rescue on a volunteer basis and to interact with their dogs at my own risk, and release Canine Health Education and Welfare (CHEW) Dog Rescue of any and all liability arising from damages to person(s) or property caused by any dog in my care or the care of their representatives. Initial: RELEASE AND INDEMNIFICATION In consideration of Canine Health Education and Welfare (CHEW) Dog Rescue allowing me to be a Volunteer (foster parent, dog walker, dog handler, adoption counselor, etc.), I agree and promise to be solely responsible for any damages to people or property caused by any dog(s) under my care and supervision while acting as a Volunteer for Canine Health Education and Welfare (CHEW) Dog Rescue. I further agree and promise to indemnify and release Canine Health Education and Welfare (CHEW) Dog Rescue, its Officers and Directors, of any and all liability arising from any known, unknown, or any unforeseen damages to people or property while the dog(s) is/are under my care and supervision. I am fully aware of, understand, and agree to all the terms and conditions of this RELEASE AND INDEMNIFICATION AGREEMENT, and that it is a BINDING CONTRACT, ENFORCEABLE BY LAW. Initial: As a Volunteer representing Canine Health Education and Welfare (CHEW) Dog Rescue, I will, at all times, act in a professional manner be it in person, on the phone or via e-mail. Print Name Invalid Input Print Date Invalid Input Signature (original signature will be acquired in person) ______________________________________ If Volunteer is under 18 years old, a legal/authorized guardian’s consent (signature and initials) must be obtained and it is understood that all points to this RELEASE AND INDEMNIFICATION AGREEMENT apply: Print Name Invalid Input Print Date Invalid Input Signature (original signature will be acquired in person) ______________________________________ In Case of an Emergency, Please call: Name/Relationship Phone Name/Relationship 1 Invalid Input Phone1 Invalid Input Name/Relationship 2 Invalid Input Phone2 Invalid Input < PrevSubmit
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